Abstract
OBJECTIVES. We present 1-year follow-up data from a school-based tobacco use prevention project designed to test the effectiveness of three main components of social influence programs. The components teach refusal skills, awareness of social misperceptions about tobacco use, and misconceptions about physical consequences. METHODS. Four different curricula were developed and tested in a randomized experiment involving 48 junior high schools. The outcome variables examined were changes in initial and weekly cigarette and smokeless tobacco use 1 year after the intervention. RESULTS. Analyses indicated that each of the component programs were effective in decreasing both the initial and the weekly use of cigarettes except for the curriculum in which refusal skills were taught. Also, each curriculum was effective in decreasing the initial use of smokeless tobacco except for the one aimed at correcting social misperceptions. Only the combined curriculum showed an effect on the weekly use of smokeless tobacco. CONCLUSIONS. The combined intervention was the most effective overall in reducing the initial and weekly use of cigarettes and smokeless tobacco. This suggests that different reasons for use exist and need to be counteracted simultaneously. However, since single programs were also effective in reducing all but weekly smokeless tobacco use, any of these components may be worthwhile prevention tools.
Full text
PDF





Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bauman K. E., Dent C. W. Influence of an objective measure on self-reports of behavior. J Appl Psychol. 1982 Oct;67(5):623–628. [PubMed] [Google Scholar]
- Bewley B. R., Bland J. M., Harris R. Factors associated with the starting of cigarette smoking by primary school children. Br J Prev Soc Med. 1974 Feb;28(1):37–44. doi: 10.1136/jech.28.1.37. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brannon B. R., Dent C. W., Flay B. R., Smith G., Sussman S., Pentz M. A., Johnson C. A., Hansen W. B. The television, school, and family project. V. The impact of curriculum delivery format on program acceptance. Prev Med. 1989 Jul;18(4):492–502. doi: 10.1016/0091-7435(89)90008-x. [DOI] [PubMed] [Google Scholar]
- Chassin L. A., Presson C. C., Sherman S. J. Stepping backward in order to step forward: an acquisition-oriented approach to primary prevention. J Consult Clin Psychol. 1985 Oct;53(5):612–622. doi: 10.1037//0022-006x.53.5.612. [DOI] [PubMed] [Google Scholar]
- DEUTSCH M., GERARD H. B. A study of normative and informational social influences upon individual judgement. J Abnorm Psychol. 1955 Nov;51(3):629–636. doi: 10.1037/h0046408. [DOI] [PubMed] [Google Scholar]
- Evans R. I. Smoking in children: developing a social psychological strategy of deterrence. Prev Med. 1976 Mar;5(1):122–127. doi: 10.1016/0091-7435(76)90015-3. [DOI] [PubMed] [Google Scholar]
- Friedman L. S., Lichtenstein E., Biglan A. Smoking onset among teens: an empirical analysis of initial situations. Addict Behav. 1985;10(1):1–13. doi: 10.1016/0306-4603(85)90048-6. [DOI] [PubMed] [Google Scholar]
- Graham J. W., Marks G., Hansen W. B. Social influence processes affecting adolescent substance use. J Appl Psychol. 1991 Apr;76(2):291–298. doi: 10.1037/0021-9010.76.2.291. [DOI] [PubMed] [Google Scholar]
- Hahn G., Charlin V. L., Sussman S., Dent C. W., Manzi J., Stacy A. W., Flay B., Hansen W. B., Burton D. Adolescents' first and most recent use situations of smokeless tobacco and cigarettes: similarities and differences. Addict Behav. 1990;15(5):439–448. doi: 10.1016/0306-4603(90)90030-2. [DOI] [PubMed] [Google Scholar]
- Hunter S. M., Croft J. B., Burke G. L., Parker F. C., Webber L. S., Berenson G. S. Longitudinal patterns of cigarette smoking and smokeless tobacco use in youth: the Bogalusa Heart Study. Am J Public Health. 1986 Feb;76(2):193–195. doi: 10.2105/ajph.76.2.193. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MacKinnon D. P., Johnson C. A., Pentz M. A., Dwyer J. H., Hansen W. B., Flay B. R., Wang E. Y. Mediating mechanisms in a school-based drug prevention program: first-year effects of the Midwestern Prevention Project. Health Psychol. 1991;10(3):164–172. doi: 10.1037//0278-6133.10.3.164. [DOI] [PubMed] [Google Scholar]
- McCaul K. D., Glasgow R. E. Preventing adolescent smoking: what have we learned about treatment construct validity? Health Psychol. 1985;4(4):361–387. doi: 10.1037//0278-6133.4.4.361. [DOI] [PubMed] [Google Scholar]
- Murray D. M., Perry C. L. The measurement of substance use among adolescents: when is the 'bogus pipeline' method needed? Addict Behav. 1987;12(3):225–233. doi: 10.1016/0306-4603(87)90032-3. [DOI] [PubMed] [Google Scholar]
- Silvestri B., Flay B. R. Smoking education: comparison of practice and state-of-the-art. Prev Med. 1989 Mar;18(2):257–266. doi: 10.1016/0091-7435(89)90073-x. [DOI] [PubMed] [Google Scholar]
- Sussman S., Dent C. W., Brannon B. R., Glowacz K., Gleason L. R., Ullery S., Hansen W. B., Johnson C. A., Flay B. R. The television, school and family smoking prevention/cessation project. IV. Controlling for program success expectancies across experimental and control conditions. Addict Behav. 1989;14(6):601–610. doi: 10.1016/0306-4603(89)90002-6. [DOI] [PubMed] [Google Scholar]
- Sussman S., Dent C. W., Flay B. R., Burton D., Craig S., Mestel-Rauch J., Holden S. Media manipulation of adolescents' personal level judgements regarding consequences of smokeless tobacco use. J Drug Educ. 1989;19(1):43–57. doi: 10.2190/51YX-L5HD-Y78B-5E5D. [DOI] [PubMed] [Google Scholar]
- Sussman S., Dent C. W., Stacy A. W., Hodgson C. S., Burton D., Flay B. R. Project Towards No Tobacco Use: implementation, process and post-test knowledge evaluation. Health Educ Res. 1993 Mar;8(1):109–123. doi: 10.1093/her/8.1.109. [DOI] [PubMed] [Google Scholar]
- Thompson E. L. Smoking education programs 1960-1976. Am J Public Health. 1978 Mar;68(3):250–257. doi: 10.2105/ajph.68.3.250. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Turner G. E., Burciaga C., Sussman S., Klein-Selski E., Craig S., Dent C. W., Mason H. R., Burton D., Flay B. Which lesson components mediate refusal assertion skill improvement in school-based adolescent tobacco use prevention? Int J Addict. 1993 Jun;28(8):749–766. doi: 10.3109/10826089309062171. [DOI] [PubMed] [Google Scholar]